Current strategies for malignant pedunculated colorectal polyps

Despite significant advances in imaging techniques, the incidence of colorectal cancer has been increasing in recent years, with many cases still being diagnosed in advanced stages. Early detection and accurate staging remain the main factors that lead to a decrease in the cost and invasiveness of t...

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Bibliographic Details
Published in:World journal of gastrointestinal oncology 2018-12, Vol.10 (12), p.465-475
Main Authors: Ciocalteu, Adriana, Gheonea, Dan Ionut, Saftoiu, Adrian, Streba, Liliana, Dragoescu, Nicoleta Alice, Tenea-Cojan, Tiberiu Stefanita
Format: Article
Language:English
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Review
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Summary:Despite significant advances in imaging techniques, the incidence of colorectal cancer has been increasing in recent years, with many cases still being diagnosed in advanced stages. Early detection and accurate staging remain the main factors that lead to a decrease in the cost and invasiveness of the curative techniques, significantly improving the outcome. However, the diagnosis of pedunculated early colorectal malignancy remains a current challenge. Data on the management of pedunculated cancer precursors, apart from data on nonpolypoid lesions, are still limited. An adequate technique for complete resection, which provides the best long-term outcome, is mandatory for curative intent. In this context, a discussion regarding the diagnosis of malignancy of pedunculated polyps, separate from non-pedunculated variants, is necessary. The purpose of this review is to provide a critical review of the most recent literature reporting the different features of malignant pedunculated colorectal polyps, including diagnosis and management strategies.
ISSN:1948-5204
1948-5204
DOI:10.4251/wjgo.v10.i12.465